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[PMID]:29292918
[Au] Autor:Perbeck L; Mellgrim S
[Ad] Endereço:Karolinska Universitetssjukhuset - Bröst- sakrom och endokrinkirurgiska kliniken, P9:03 Stockholm, Sweden Endokrinkirurgiska kliniken - Karolinska Universitetssjukhuset, Soln Stockholm, Sweden.
[Ti] Título:Lipödem ­ en ofta förbisedd men behandlingsbar sjukdom..
[So] Source:Lakartidningen;114, 2017 Nov 13.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Ab] Resumo:Lipedema an often overlooked but treatable disease Lipedema is a painful disease that affects some women between puberty and menopause through a subcutaneous fat accumulation especially in the lower extremities. Patients suffer from pain and pressure tenderness. The larger fat accumulation, especially on the inside of the thighs and knees, causes walking difficulties. This can successfully be treated by liposuction with good long-term results in terms of pain reduction and prevention of osteoarthritis development in the knee and ankle joints.
[Mh] Termos MeSH primário: Lipedema
[Mh] Termos MeSH secundário: Adolescente
Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
Lipectomia
Lipedema/diagnóstico
Lipedema/patologia
Lipedema/fisiopatologia
Lipedema/cirurgia
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180103
[St] Status:MEDLINE


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[PMID]:28468137
[Au] Autor:Lee SS; Huang YH; Lin TY; Chou CK; Takahashi H; Lai CS; Lin SD; Lin TM
[Ad] Endereço:*Department of Plastic Surgery, Kaohsiung Medical University †Charming Institute of Aesthetic and Regenerative Surgery (CIARS) ‡Division of Traumatology, Department of Emergency, Kaohsiung Medical University §Yuan's General Hospital ||Department of Post Baccalaureate Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
[Ti] Título:Long-Term Outcome of Microautologous Fat Transplantation to Correct Temporal Depression.
[So] Source:J Craniofac Surg;28(3):629-634, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Sunken temporal fossa appears oftentimes in Asians and resembles bad fortune that people wish to change. Numerous techniques and materials have been applied clinically for augmenting the sunken temporal fossa with variable results. The microautologous fat transplantation (MAFT) technique proposed by Lin et al in 2006 has demonstrated favorable results in facial rejuvenation. In the present study, the authors applied the MAFT technique with an innovative instrument in sunken temporal fossa and reported its results. METHODS: Microautologous fat transplantation was performed on 208 patients during the 4-year period starting in January 2010. Fat was harvested by liposuction, processed and refined by centrifugation at 1200 g for 3 minutes. Then purified fat was microtransplanted to the temporal fossa with the assistance of an instrument, MAFT-Gun. The patients were followed up regularly and photographs were taken for comparison. RESULTS: On average, the MAFT procedure took 48 minutes to complete. The average delivered fat was 6.8 ±â€Š0.2 mL/6.5 ±â€Š0.3 mL for the right/left side. The average follow-up period was 18 months. No complication including skin necrosis, vascular compromise, nodulation, fibrosis, and asymmetry was noted. The patient-rated satisfaction 5-point Likert scale demonstrated that 81.3% of all patients had favorable results (38.5% very satisfied and 42.8% satisfied). CONCLUSIONS: The concept and technique of MAFT along with the micro- and precise controlling instrument enabled surgeons to perform fat grafting accurately and consistently. In comparison with other strategies for volume restoration, the MAFT procedure demonstrated the patients' high satisfaction with the long-term results. Therefore, the potential of MAFT as an alternative strategy in sunken temporal fossa in Asians was emphasized.
[Mh] Termos MeSH primário: Técnicas Cosméticas
Gordura Subcutânea/transplante
[Mh] Termos MeSH secundário: Adulto
Face
Feminino
Seguimentos
Seres Humanos
Lipectomia
Masculino
Meia-Idade
Satisfação do Paciente/estatística & dados numéricos
Estudos Retrospectivos
Transplante Autólogo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003410


  3 / 3212 MEDLINE  
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[PMID]:29280867
[Au] Autor:Villanueva NL; Del Vecchio DA; Afrooz PN; Carboy JA; Rohrich RJ
[Ad] Endereço:Dallas, Texas; and Boston, Mass. From the Department of Plastic Surgery, University of Texas Southwestern Medical Center; Back Bay Plastic Surgery; and Dallas Plastic Surgery Institute.
[Ti] Título:Staying Safe during Gluteal Fat Transplantation.
[So] Source:Plast Reconstr Surg;141(1):79-86, 2018 01.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Gluteal augmentation with fat transplantation is increasing in demand but has been associated with a concerning number of fatality reports. Despite these reports, various surgeons have safely performed gluteal fat transplantation on a large number of patients with no reported mortality. The important aspects of safely performing gluteal fat transplantation are reviewed. Proper patient selection, favorable instrumentation, patient positioning, proper technique, and knowledge of anatomy are critical to improving the safety of this procedure. Adherence to these key principles should allow a reduction in mortality from this procedure, which would safely allow its continued offering in the setting of increasingly high demand.
[Mh] Termos MeSH primário: Nádegas/cirurgia
Técnicas Cosméticas
Segurança do Paciente
Gordura Subcutânea/transplante
[Mh] Termos MeSH secundário: Nádegas/anatomia & histologia
Técnicas Cosméticas/efeitos adversos
Seres Humanos
Lipectomia/efeitos adversos
Lipectomia/métodos
Posicionamento do Paciente
Seleção de Pacientes
Cuidados Pós-Operatórios/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW; VIDEO-AUDIO MEDIA
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003934


  4 / 3212 MEDLINE  
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[PMID]:28743587
[Au] Autor:Niddam J; Hersant B; Meningaud JP
[Ad] Endereço:Department of Maxillo-facial and Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, Paris-Est University, Créteil, France. Electronic address: j.niddam@yahoo.fr.
[Ti] Título:Aesthetic outcomes of liposuction after breast reconstruction using exclusive fat grafting.
[So] Source:J Plast Reconstr Aesthet Surg;70(12):1782-1784, 2017 12.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Tecido Adiposo/transplante
Estética
Lipectomia
Mamoplastia
Satisfação do Paciente
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Lipectomia/métodos
Mamoplastia/métodos
Estudos Retrospectivos
Inquéritos e Questionários
Resultado do Tratamento
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE


  5 / 3212 MEDLINE  
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[PMID]:29091562
[Au] Autor:Greene AK; Voss SD; Maclellan RA
[Ad] Endereço:Boston Children's Hospital, Boston, MA arin.greene@childrens.harvard.edu.
[Ti] Título:Liposuction for Swelling in Patients with Lymphedema.
[So] Source:N Engl J Med;377(18):1788-1789, 2017 11 02.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Lipectomia
Linfedema/terapia
[Mh] Termos MeSH secundário: Braço
Neoplasias da Mama/terapia
Feminino
Seres Humanos
Perna (Membro)/diagnóstico por imagem
Linfedema/diagnóstico por imagem
Linfedema/etiologia
Linfedema/fisiopatologia
Linfocintigrafia
Meia-Idade
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171102
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMc1709275


  6 / 3212 MEDLINE  
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[PMID]:29068928
[Au] Autor:Canizares O; Thomson JE; Allen RJ; Davidson EH; Tutela JP; Saadeh PB; Warren SM; Hazen A
[Ad] Endereço:New York, N.Y. From the Institute of Reconstructive Plastic Surgery Laboratories, New York University Medical Center.
[Ti] Título:The Effect of Processing Technique on Fat Graft Survival.
[So] Source:Plast Reconstr Surg;140(5):933-943, 2017 Nov.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Wide variations in fat graft survival have been reported. The authors hypothesize that treating the adipose tissue on Telfa gauze creates a processed lipoaspirate with a more functional adipokine profile that improves fat graft survival. METHODS: Suction-assisted lipoaspirate was harvested from humans and was either processed by centrifugation, rolled on Telfa gauze, or left unprocessed. Progenitor cell populations were quantified and characterized by flow cytometry. Glycerol-3-phosphate dehydrogenase assay was used to measure the functional adipocytes. The lipoaspirates were grafted into (n = 45) wild-type mice and harvested to assess fat graft persistence. Vascular endothelial growth factor and platelet-derived growth factor-BB secretions were measured by enzyme-linked immunosorbent assay technique. RESULTS: Centrifuged lipoaspirate had a greater number of progenitor cells per gram of tissue than Telfa-processed and unprocessed lipoaspirate. However, Telfa-processed lipoaspirate had a greater number of functional adipocytes (0.104 U/ml) than centrifuged (0.080 U/ml) and unprocessed lipoaspirate (0.083 U/ml) on glycerol-3-phosphate dehydrogenase assay (p < 0.05). After 10 weeks of grafting, it had greater fat graft persistence (70.9 ± 6.2 percent) than centrifuged (56.7 ± 5.5 percent) and unprocessed lipoaspirate (42.2 ± 2.7 percent) (p < 0.05). It also maintained a greater secretion of vascular endothelial growth factor and platelet-derived growth factor-BB at weeks 1 and 2 than centrifuged and unprocessed lipoaspirate. Furthermore, CD31 staining demonstrated an increase in vascular density of the Telfa-processed lipoaspirate at week 2 compared with the centrifuged lipoaspirate (37 ± 1 percent and 14 ± 4 percent per high-power field; p < 0.05). CONCLUSIONS: Lipoaspirate processing technique has a significant impact on fat graft survival rate. Increasing the number of functional adipocytes by processing the fat on Telfa gauze may augment the secretion of angiogenic and mitogenic adipokines within the graft, thereby improving its survivability. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
[Mh] Termos MeSH primário: Adipócitos/transplante
Sobrevivência de Enxerto
Manejo de Espécimes/métodos
Gordura Subcutânea/transplante
[Mh] Termos MeSH secundário: Adipócitos/fisiologia
Adipocinas/metabolismo
Adulto
Animais
Biomarcadores/metabolismo
Centrifugação
Ensaio de Imunoadsorção Enzimática
Citometria de Fluxo
Imunofluorescência
Seres Humanos
Lipectomia
Masculino
Camundongos
Meia-Idade
Gordura Subcutânea/cirurgia
Transplante Heterólogo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adipokines); 0 (Biomarkers)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003812


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[PMID]:29068923
[Au] Autor:Seth AK; Lin AM; Austen WG; Gilman RH; Gallico GG; Colwell AS
[Ad] Endereço:Boston, Mass. From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School.
[Ti] Título:Impact of Patient Subtype and Surgical Variables on Abdominoplasty Outcomes: A 12-Year Massachusetts General Hospital Experience.
[So] Source:Plast Reconstr Surg;140(5):899-908, 2017 Nov.
[Is] ISSN:1529-4242
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The traditional abdominoplasty is one of the most common surgical procedures performed. This study evaluates the impact of different surgical techniques and clinical patient factors on abdominoplasty outcomes. METHODS: A retrospective review of consecutive patients undergoing abdominoplasty was performed. RESULTS: Seven hundred seventy-nine patients with a mean age of 43.7 years and a body mass index of 27 kg/m underwent abdominoplasty. The majority were women (92.9 percent), and massive weight loss was present in 34.8 percent. Abdominoplasty techniques included traditional (59.4 percent), belt lipectomy (17.9 percent), fleur-de-lis (16.4 percent), umbilical float (9.2 percent), and mini-abdominoplasty (2.8 percent). Half of the study population [n = 384 (49.3 percent)] had concurrent surgical procedures. Total complications (23.0 percent) consisted primarily of wound- and scar-related complications (15.3 percent). Approximately 60 percent of patients received heparin chemoprophylaxis, with overall thromboembolic and hematoma rates less than 1 percent. Univariate analysis revealed that massive weight loss (p = 0.04), fleur-de-lis (p = 0.03) or belt lipectomy (p = 0.05) techniques, and concurrent medial thigh lift (p < 0.001) all significantly increased complications. Previous scars, amount of weight loss, operative time, liposuction, and other concurrent procedures did not affect total complications. Male sex (OR, 1.96; p = 0.04), fleur-de-lis technique (OR, 1.71; p = 0.04), and medial thigh lift (OR, 3.3; p < 0.001) were independent risk factors for total postoperative complications. CONCLUSION: This study demonstrates that abdominoplasty alone or in combination with liposuction and aesthetic breast surgery can be performed safely, with an acceptable complication profile. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.
[Mh] Termos MeSH primário: Abdominoplastia
[Mh] Termos MeSH secundário: Abdominoplastia/métodos
Adulto
Feminino
Seguimentos
Hospitais Gerais
Seres Humanos
Lipectomia
Masculino
Mamoplastia
Massachusetts
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)
Complicações Pós-Operatórias/epidemiologia
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/PRS.0000000000003816


  8 / 3212 MEDLINE  
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[PMID]:28816985
[Au] Autor:Zhang L; Chen F; Kong J; Li Z; Wen X; Liu J
[Ad] Endereço:aDepartment of Plastic Surgery, China-Japan Union Hospital, Jilin University, Changchun bDepartment of Orthopaedics, Second Affiliated Hospital of Jilin University, Changchun, Jilin Province, China.
[Ti] Título:The curative effect of liposuction curettage in the treatment of bromhidrosis: A meta-analysis.
[So] Source:Medicine (Baltimore);96(33):e7844, 2017 Aug.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: We aimed to understand the curative effect of liposuction curettage (LC) in the treatment of bromhidrosis. METHODS: Relevant studies published before January 2017were searched from the PubMed, Embase, Cochrane Library, Wanfang, VIP, and China National Knowledge Infrastructure databases. Parameters including recurrence, complications, complete response, and overall response were assessed. Meta-analysis was performed using the R 3.12 statistical package. Odds ratio (OR) and 95% confidence interval (95% CI) were used for dichotomous data. Heterogeneity was assessed using Cochran's Q-statistic and I test. In addition, Egger's test was conducted to detect publication bias. RESULTS: Ten studies with a total of 1124 participants (545 cases and 579 controls) were included. There was no statistical difference in recurrence (OR = 1.19, 95% CI: 0.51-2.74), complete response (OR = 0.66, 95% CI: 0.25-1.74), or overall response (OR = 0.63, 95% CI: 0.21-1.87) between the case and control groups. The incidence of complications in the case group was lower than that in the control group (OR = 0.24, 95% CI: 0.08-0.67) and open excision group (OR = 0.11, 95% CI: 0.07-0.19). Publication bias existed for the recurrence index in the open excision group (t = 3.3979, P = .04), but no publication bias was found in other subgroups, indicating stable results. CONCLUSIONS: LC, which has fewer complications, can be considered the primary choice in the treatment of patients with bromhidrosis compared with other surgical procedures.
[Mh] Termos MeSH primário: Axila/cirurgia
Hiperidrose/cirurgia
Lipectomia/métodos
[Mh] Termos MeSH secundário: China
Seres Humanos
Complicações Pós-Operatórias
Recidiva
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007844


  9 / 3212 MEDLINE  
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[PMID]:28795986
[Au] Autor:Shirol SS
[Ad] Endereço:From the Department of Plastic Surgery, KIMS-Hubli, Karnataka, India.
[Ti] Título:Orange Peel Excision of Gland: A Novel Surgical Technique for Treatment of Gynecomastia.
[So] Source:Ann Plast Surg;79(3):326, 2017 09.
[Is] ISSN:1536-3708
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ginecomastia/cirurgia
Lipectomia
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
[Pt] Tipo de publicação:LETTER; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171108
[Lr] Data última revisão:
171108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1097/SAP.0000000000001127


  10 / 3212 MEDLINE  
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[PMID]:28795985
[Au] Autor:Innocenti A; Ciancio F; Parisi D; Portincasa A; Melita D; Innocenti M
[Ad] Endereço:Department of Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy. innocentialessandro@alice.it Department of Plastic and Reconstructive Surgery, University of Bari, Foggia, Italy Department of Plastic and Reconstructive Microsurgery, Careggi Universital Hospital, Florence, Italy.
[Ti] Título:Comment to "Orange Peel Excision of Gland: A Novel Surgical Technique for Treatment of Gynecomastia".
[So] Source:Ann Plast Surg;79(3):326, 2017 09.
[Is] ISSN:1536-3708
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Ginecomastia/cirurgia
Lipectomia
[Mh] Termos MeSH secundário: Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171108
[Lr] Data última revisão:
171108
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170811
[St] Status:MEDLINE
[do] DOI:10.1097/SAP.0000000000001126



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